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The form "FORMULIR ONLINE USULAN BARU FASILITASI GTT/GTY/PTT/PTY PERIODE JULI – DESEMBER TAHUN 2015 " is no longer accepting responses.Try contacting the owner of the form if you think this is a mistake.
NO KUNCI PTK
(DIISI DG BENAR)
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NAMA LENGKAP TANPA GELAR
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NOMOR INDUK KEPENDUDUKAN
FORMAT 34-04102712780005
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KODE SEKOLAH
SEKOLAH INDUK
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NAMA SEKOLAH
(SEKOLAH INDUK)
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KECAMATAN
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JENJANG
STATUS KEPEGAWAIAN
TEMPAT LAHIR
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TANGGAL LAHIR
(DD/MM/YYYY)
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TMT PERTAMA DI SLEMAN
(DD/MM/YYYY)
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PENDIDIKAN TERAKHIR
BIDANG STUDI/ KETUGASAN POKOK
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JUMLAH JAM POKOK
(ISIKAN ANGKA)
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KELAS YANG DIAMPU (POKOK)
(KHUSUS GURU)
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JUMLAH KELAS POKOK
(KHUSUS GURU)
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JUMLAH SISWA YANG DIAMPU
(KHUSUS GURU)
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BIDANG STUDI TAMBAHAN
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JUMLAH JAM TAMBAHAN
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MENAMBAH JAM DI SEKOLAH LAIN
KODE SEKOLAH LAIN
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NAMA SEKOLAH LAIN
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BIDANG STUDI DI SEKOLAH LAIN
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JUMLAH JAM DI SEKOLAH LAIN
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NOMOR REKENING BPD
(WAJIB)
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NAMA TERTULIS DI REKENING
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NAMA KECIL IBU KANDUNG
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NOMOR HP (BUKAN TELP. RUMAH)
(YANG MASIH AKTIF)
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